| North Shore Behavioral Health Llc | |
|
222 E Wisconsin Ave Suite 108 Lake Forest IL 60045-1735 | |
| (877) 570-7970 | |
| (877) 570-7970 |
| Full Name | North Shore Behavioral Health Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 222 E Wisconsin Ave, Lake Forest, Illinois |
| Authorized Official Name and Position | Carey Jeanne Woodruff (DIRECTOR) |
| Authorized Official Contact | 8775707970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Behavioral Health Llc Po Box 35 Libertyville IL 60048-0035 Ph: (877) 570-7970 | North Shore Behavioral Health Llc 222 E Wisconsin Ave Suite 108 Lake Forest IL 60045-1735 Ph: (877) 570-7970 |
| NPI Number | 1467753624 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467753624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071007667 (Illinois) | Primary |
| 103TC0700X | Psychologist - Clinical | 071007667 (Illinois) | Secondary |
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